
Joy in Family Medicine – Stories & Reflections
Lessons, lightbulb moments, and honest reflections from life inside and outside medicine - served with a side of perspective.
Tags: presence
Showing 12 results:
Mise en Place for the Mind
One of my coachees recently identified the missing link in his project workflow. (Thanks for the metaphor, Michael Caçoilo! - shared with permission.)
He had developed the right structure for him: breaking big tasks into smaller chunks and blocking time to get them done. But something still felt ...
by Dr. Tonya Caylor —
Jun 21, 2025
awareness
clarity
coaching
connection
efficiency
engagement
execution
focus
habits
insight
intentionality
leadership
metaphor
mindset
mise-en-place
planning
pre-work
preparation
presence
productivity
professionalism
readiness
reflection
structure
time blocking
trust
workflow
Keep Digging (And Savor the Moments Along the Way)
Dinner was beautiful. A nice evening, bold flavors, shared stories of challenge & success, and laughter with friends who are in simlar trenches.
The meal came with this quote came tucked in tableware:
“Work. Keep digging your well. Water is there somewhere.”
It stayed with me—not just because it...
by Dr. Tonya Caylor —
Jun 12, 2025
community
connection
depth
digging
effort
endurance
flow
fulfillment
grit
grounding
hope
meaning
nourishment
patience
persistence
presence
process
resilience
savoring
season
stillness
support
uncertainty
waiting
work
Leaders and Legacy Reflection
When physicians or faculty leaders are struggling in their roles—or with certain parts of them—I often ask:
"When you think of a leader you admire, what qualities stand out?"
They usually name things such as integrity. Strength. Clinical wisdom. Courage. Kindness. Collaboration.
And almost always...
by Dr. Tonya Caylor —
Jun 12, 2025
admiration
awareness
balance
boundaries
capacity
choice
clarity
courage
decline
dedication
delegation
discomfort
expansion
growth
impact
influence
integrity
kindness
leaders
leadership
legacy
modeling
possibility
presence
purpose
rolemodeling
streamline
strength
sustainability
tension
wisdom
Story and Reflection: Mining for Value
Recently, I noticed that a member of our team had quietly pulled back. I knew she had experience—she’d been introduced as someone who had worked with universities, served as a legislative liaison, and helped stand up GME programs. She had consistently offered thoughtful perspectives, often seeing...
by Dr. Tonya Caylor —
Jun 12, 2025
awareness
confidence
confidence without arrogance
contribution over ego
curiosity
deep listening
dignity
drawing out strengths
experience
experience matters
expertise
hidden
hidden assets
hidden strength
honoring the whole person
humility
inclusive leadership
influence beyond title
invitational leadership
leadership
legacy
listening
mining
mining for gold
presence
quiet contributors
reactivation
recognition
relational leadership
respectul curiosity
storytelling
strength
team awareness
undervalued
undervalued expertise
unseen
unseen wisdom
wisdom
The Extra Mile - Story and Reflection
Recently, I’ve been supporting my mom from afar as she’s gone through a complicated health issue. Like many patients, she didn’t show up with a single neat explanation. She had two separate issues—Occam’s razor didn’t apply. That alone created delays and misdirection, but this story isn’t about w...
by Dr. Tonya Caylor —
Jun 12, 2025
bandwidth
care
care over efficiency
clarity
connection
discernment
effort
empathy
experience informed action
family perspective
generosity
going above and beyond
gratitude
groundedness
healing
healing moments
humanity
intention
leadership
meaningful
meaningful effort
medicine
pacing
perspective
physician humanity
presence
prioritization
professionalism
relational medicine
right effort right moment
silent leadership
timing
wisdom
The Power of a Smile: Story and Reflection
During the half-day virtual faculty development workshop that I co-led this past week, one thing stood out to me: my co-presenter, Dr. Rae Wright, was always smiling and actively present. Her smile looked so genuine—like she was truly enjoying hearing me speak and appreciating how I was presentin...
by Dr. Tonya Caylor —
Jun 12, 2025
appreciation
attentiveness
attunement
authenticity
belonging
co-facilitation
confidence
connection
culture
encouragement
encouragement culture
energy transfer
grace
light
micro-affirmation
nonverbal communication
positivity
presence
psychological safety
renewal
small gestures
smile
smile power
support
validation
warmth
zoom fatigue buffer
Two Travelers and A Mountain: Tale and Reflection
Two explorers set out on a journey to find a hidden village high in the mountains. Both were experienced travelers, used to well-marked paths, sturdy bridges, and reliable guides.
They started on different sides of the mountain which strattled two countries. The first traveler was started in an...
by Dr. Tonya Caylor —
Jun 12, 2025
acceptance
adaptation
agency
awareness
calm in chaos
clarity
comparison
expectation reset
expectations
frustration
internal shift
journey
mindset
orientation
perspective
presence
privilege
purpose
reframing
resilience
resistance
surrender
systems thinking
transformation
trial and error
Wake Up Call in Paradise: Story and Reflection
In 2018, our annual mid-winter break took us to Hawaii with our adult daughters and our one grand-little at the time. We stayed together in an Airbnb, soaking up the warmth and beauty of the islands.
One morning, I took the grand in the stroller while the others split into two groups of runners h...
by Dr. Tonya Caylor —
Jun 12, 2025
acceptance
calm in chaos
clarity
composure
detachment
emergency
faith
false alarm
family
gratitude
grounding
instinct
legacy
meaning
mindfulness
mindset
perspective
presence
priority reset
reflection
resilience
surrealism
surrender
uncertainty
value alignment
Reflection: The Adventure of Conversation
I had just turned a group of faculty workshop participants loose to help each other work on short term career goals & to do so by practicing their new coaching skills with each other.
I encouraged them to keep their advice-monster at bay. (See Michael Bungay Stanier's The Advice Trap).
When they ...
by Dr. Tonya Caylor —
Jun 12, 2025
advice trap
awareness
co-creation
coaching
communication
connection
curiosity
discovery
empathy
engagement
exploration
facilitation
growth
guidance
insight
interaction
learning
listening
mindset
non-judgment
openness
pattern recognition
physician habit
practice
presence
reflection
restraint
storytelling
transformation
trust
Best Laid Plans: Story and Reflection
I enjoy it when people expand and contrast the meanings of words. It gives me a better grasp of various approaches. I came across a quote from Sahil Bloom that did just that:
"Preparation always beats planning. Planning is based on the expectation of order. Preparation is based on the expectation...
by Dr. Tonya Caylor —
Jun 11, 2025
adaptability
calm
control
creativity
emotional intelligence
engagement
evolution
expectations
flexibility
foresight
grace
humor
idealism
improvisation
leadership
learning
mindset
perspective
pivoting
planning
preparation
presence
problem solving
recovery
reflection
resilience
responsiveness
self-regulation
teaching
uncertainty
Performance Reflection
I often talk with residents about what I term "performance mode" and how it negatively impacts us. It's that feeling of playing a persona in order to fit the mold, earn praise, and be accepted.
We are socialized as we progress through premed and medical school to look for the approval of others -...
by Dr. Tonya Caylor —
Jun 11, 2025
alignment
anxiety
authenticity
autonomy
confidence
detachment
empowerment
essence
external approval
feedback
growth
identity
impact
insecurity
integrity
introspection
medical training
mindset
motivation
perception
performance mode
persona
presence
reflection
resilience
self-awareness
self-trust
self-worth
validation
worthiness
Twin Perspectives: Story and Reflection
One day a few of years ago, my husband and I started watching Medici - the historical Netflix series set in medieval Italy. The two main brothers looked so much alike during those first two episodes. I kept getting so confused.
After asking Mark for the 6th time which brother was speaking, he fin...
by Dr. Tonya Caylor —
Jun 11, 2025
acceptance
adjustment
attentiveness
awareness
balance
clarity
confusion
distortion
emotional regulation
focus
humility
insight
judgment
lens
mindfulness
mindset
narrative
overwhelm
patience
perception
perspective
presence
proportion
reframe
self-awareness
self-reflection
storytelling
strengths
values
zooming-out
Joy in Family Medicine – Stories & Reflections
